Workbook-ufp Wbk 0305

5/24/2018 Workbook-ufp Wbk 0305

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Publication Numbers:

EPA: EPA-505-B-04-900C

DoD: DTIC ADA 427486

Intergovernmental Data Quality Task Force

Workbook for

Uniform Federal Policy for Quality Assurance

Project Plans

Evaluating, Assessing, and Documenting Environmental Data

Collection and Use Programs

Part 2A: UFP-QAPP Workbook

This Workbook supplements Part 1 of the UFP-

QAPP, the UFP-QAPP Manual. Proper

completion of these worksheets requires

knowledge of the QAPP elements explained in the


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Thi s page intentional ly left blank.


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TABLE OF CONTENTS

INTRODUCTIONQAPP Worksheet #1. Title and Approval Page . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

QAPP Worksheet #2. QAPP Identifying Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

QAPP Worksheet #3. Distribution List . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

QAPP Worksheet #4. Project Personnel Sign-Off Sheet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

QAPP Worksheet #5. Project Organizational Chart . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

QAPP Worksheet #6. Communication Pathways . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

QAPP Worksheet #7. Personnel Responsibilities and Qualifications Table . . . . . . . . . . . . . . 11

QAPP Worksheet #8. Special Personnel Training Requirements Table . . . . . . . . . . . . . . . . . 12QAPP Worksheet #9. Project Scoping Session Participants Sheet . . . . . . . . . . . . . . . . . . . . . 13

QAPP Worksheet #10. Problem Definition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

QAPP Worksheet #11. Project Quality Objectives/Systematic Planning Process Statements 15

QAPP Worksheet #12. Measurement Performance Criteria Table

. .

. . . . . . . . . . . . . . . . . . . . . . 16

QAPP Worksheet #13. Secondary Data Criteria and Limitations Table . . . . . . . . . . . . . . . . . . 17

QAPP Worksheet #14. Summary of Project Tasks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

QAPP Worksheet #15. Reference Limits and Evaluation Table . . . . . . . . . . . . . . . . . . . . . . . . 19QAPP Worksheet #16. Project Schedule/Timeline Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

QAPP Worksheet #17. Sampling Design and Rationale . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

QAPP Worksheet #18. Sampling Locations and Methods/SOP Requirements Table . . . . . . . . 22

QAPP Worksheet #19. Analytical SOP Requirements Table . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

QAPP Worksheet #20. Field Quality Control Sample Summary Table . . . . . . . . . . . . . . . . . . . 24

QAPP Worksheet #21. Project Sampling SOP Reference Table . . . . . . . . . . . . . . . . . . . . . . . . 25

QAPP Worksheet #22. Field Equipment Calibration, Maintenance, Testing, and Inspection

Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26QAPP Worksheet #23. Analytical SOP Reference Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

QAPP Worksheet #24. Analytical Instrument Calibration Table . . . . . . . . . . . . . . . . . . . . . . . . 28

QAPP Worksheet #25. Analytical Instrument and Equipment Maintenance, Testing, and

Inspection Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

QAPP Worksheet #26 Sample Handling System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30

QAPP Worksheet #27. Sample Custody Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31

QAPP Worksheet #28. QC Samples Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32

QAPP Worksheet #29. Project Documents and Records Table . . . . . . . . . . . . . . . . . . . . . . . . . 33QAPP Worksheet #30. Analytical Services Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34

QAPP Worksheet #31. Planned Project Assessment Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35

QAPP Worksheet #32. Assessment Findings and Response Actions . . . . . . . . . . . . . . . . . . . . . 36

QAPP Worksheet #33. QA Management Reports Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37

QAPP Worksheet #34 Sampling and Analysis Verification (Step I) Process Table 38


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WORKBOOK FOR UNIFORM FEDERAL POLICY FOR QUALITY ASSURANCE

PROJECT PLANS

INTRODUCTION

This Workbook for Uniform Federal Policy for Quality Assurance Project Plansis Part 2A of the

Uniform Federal Policy for Quality Assurance Project Plans(UFP-QAPP). It provides examples

of worksheets to assist with the preparation of QAPPs in accordance with Part 1 of the UFP-QAPP

(the UFP-QAPP Manual) and Section 6 (Part B) of Quality Systems for Environmental Data and

Technology Programs - Requirements with guidance for use, ANSI/ASQ E4 (February 2004). ThisWorkbook may be used by the lead organization and its contractors to assist with the preparation

of QAPPs for environmental data gathering activities.

Each worksheet addresses specific requirements of the UFP-QAPP. Both the UFP-QAPP Manual

and the Workbook are intended to be comprehensive and are not intended to be program-specific.

Since the content and level of detail in a specific QAPP will vary by program, by the work being

performed, and by the intended use of the data, specific worksheets may not be applicable to allprojects.

The ultimate success of an environmental program or project depends on the quality of the

environmental data collected and used in decision-making, and this may depend significantly on the

adequacy of the QAPP and its effective implementation. It is recommended that the individual

worksheets included in this Workbook be taken to the project scoping and planning sessions. The

use of the worksheets will aid in identifying the critical project information that will ensure that the

right type, quality, and quantity of data are collected to meet all of the projects quality objectives.Though the format of each worksheet is not mandatory, the information required on the worksheets

must still be presented in the QAPP, as appropriate to the project. In addition, QAPP preparers are

encouraged to develop additional tables, as appropriate to the project. Sufficient written discussion

in text format should accompany all tables. Certain sections, by their nature, will require more

written discussion than others. In particular, Section 3.1.1 should provide an in-depth explanation

of the sampling design rationale, and Section 5.2 should describe the procedures and criteria that

will be used for data review.


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QAPP Worksheet #1(UFP-QAPP Manual Section 2.1)

Title and Approval Page

Site Name/Project Name:Site Location:

Title:Revision Number:Revision Date:Page ___ of ___

___________________________________________________________________________________Document Title

___________________________________________________________________________________Lead Organization

___________________________________________________________________________________Preparers Name and Organizational Affiliation

___________________________________________________________________________________Preparers Address, Telephone Number, and E-mail Address

____________________________________Preparation Date (Day/Month/Year)

Investigative Organizations Project Manager:____________________________________________Signature

_______________________________________________________________________Printed Name/Organization/Date

Investigative Organizations Project QA Officer: _________________________________________Signature

______________________________________________________________________Printed Name/Organization/Date

Lead Organizations Project Manager:__________________________________________________Signature

______________________________________________________________________Printed Name/Organization/Date

Approval Signatures: ____________________________________________________________Signature

____________________________________________________________ Printed Name/Title/Date


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QAPP Worksheet #2(UFP-QAPP Manual Section 2.2.4)

QAPP Identifying Information

Site Name/Project Name:Site Location:Site Number/Code:Operable Unit:Contractor Name:Contractor Number:Contract Title:Work Assignment Number:

1. Identify guidance used to prepare QAPP:

Title:Revision Number:Revision Date:Page ___ of ___

______________________________________________________________________________

2. Identify regulatory program: _____________________________________________________

3. Identify approval entity: _________________________________________________________

4. Indicate whether the QAPP is a generic or a project-specific QAPP. (circle one)

5. List dates of scoping sessions that were held:____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

6. List dates and titles of QAPP documents written for previous site work, if applicable:

Title Approval Date ________________________________________________________ _____________ ________________________________________________________ _____________ ________________________________________________________ _____________ ________________________________________________________ _____________

7. List organizational partners (stakeholders) and connection with lead organization: __________ ____________________________________________________________________________ _____________________________________________________________________________

8. List data users:


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QAPP Worksheet #2


(continued)

Title:

Revision Number:

Revision Date:

Page ___ of ___

Identify where each required QAPP element is located in the QAPP (provide section, worksheet,

table, or figure number) or other project planning documents (provide complete document title,

date, section number, page numbers, and location of the information in the document). Circle

QAPP elements and required information that are not applicable to the project. Provide an

explanation in the QAPP.

Required QAPP Element(s) and

Corresponding QAPP Section(s) Required Information

Crosswalk to RelatedDocuments

Project Management and Objectives

2.1 Title and Approval Page - Title and Approval Page

2.2 Document Format and Table of Contents2.2.1 Document Control Format

2.2.2 Document Control Numbering System 2.2.3 Table of Contents

2.2.4 QAPP Identifying Information

- Table of Contents- QAPP Identifying

Information

2.3 Distribution List and Project Personnel Sign-Off Sheet

2.3.1 Distribution List2.3.2 Project Personnel Sign-Off Sheet

- Distribution List- Project Personnel Sign-Off

Sheet

2.4 Project Organization2.4.1 Project Organizational Chart2.4.2 Communication Pathways2.4.3 Personnel Responsibilities and

Qualifications2.4.4 Special Training Requirements and

Certification

- Project OrganizationalChart- Communication Pathways- Personnel Responsibilities

and Qualifications Table- Special Personnel Training

Requirements Table

2.5 Project Planning/Problem Definition2.5.1 Project Planning (Scoping)

2.5.2 Problem Definition, Site History, andBackground

- Project Planning SessionDocumentation (including

Data Needs tables)- Project Scoping Session

Participants Sheet- Problem Definition, Site

History, and Background- Site Maps (historical and

present)


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QAPP Worksheet #2


(continued)

Title:

Revision Number:

Revision Date:

Page ___ of ___




2.7 Secondary Data Evaluation - Sources of Secondary Dataand Information

- Secondary Data Criteria

and Limitations Table

2.8 Project Overview and Schedule - Summary of Project Tasks2.8.1 Project Overview - Reference Limits and2.8.2 Project Schedule Evaluation Table

- Project Schedule/TimelineTable

Measurement/Data Acquisition

3.1 Sampling Tasks3.1.1 Sampling Process Design and Rationale3.1.2 Sampling Procedures and Requirements

3.1.2.1 Sampling Collection Procedures3.1.2.2 Sample Containers, Volume, and

Preservation3.1.2.3 Equipment/Sample Containers

Cleaning and DecontaminationProcedures

3.1.2.4 Field Equipment Calibration,

Maintenance, Testing, andInspection Procedures

3.1.2.5 Supply Inspection and AcceptanceProcedures

3.1.2.6 Field Documentation Procedures

- Sampling Design andRationale- Sample Location Map- Sampling Locations and

Methods/ SOPRequirements Table

- Analytical Methods/SOPRequirements Table

- Field Quality ControlSample Summary Table

- Sampling SOPs- Project Sampling SOP

References Table- Field Equipment

Calibration, Maintenance,Testing, and InspectionTable

3.2 Analytical Tasks3.2.1 Analytical SOPs3.2.2 Analytical Instrument Calibration

Procedures3.2.3 Analytical Instrument and Equipment

Maintenance, Testing, and InspectionProcedures

3.2.4 Analytical Supply Inspection andAcceptance Procedures

- Analytical SOPs- Analytical SOP References

Table- Analytical Instrument

Calibration Table- Analytical Instrument and

Equipment Maintenance,Testing, and InspectionTable


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QAPP Worksheet #2


(continued)

Title:

Revision Number:

Revision Date:

Page ___ of ___


Corresponding QAPP Section(s)

Required Information


3.3 Sample Collection Documentation,Handling, Tracking, and Custody Procedures

3.3.1 Sample Collection Documentation

3.3.2 Sample Handling and Tracking System3.3.3 Sample Custody

- Sample CollectionDocumentation Handling,Tracking, and Custody

SOPs- Sample Container

Identification- Sample Handling Flow

Diagram- Example Chain-of-Custody

Form and Seal

3.4 Quality Control Samples3.4.1 Sampling Quality Control Samples

3.4.2 Analytical Quality Control Samples

- QC Samples Table- Screening/Confirmatory

Analysis Decision Tree

3.5 Data Management Tasks3.5.1 Project Documentation and Records3.5.2 Data Package Deliverables3.5.3 Data Reporting Formats3.5.4 Data Handling and Management3.5.5 Data Tracking and Control

- Project Documents andRecords Table

- Analytical Services Table- Data Management SOPs

Assessment/Oversight

4.1 Assessments and Response Actions4.1.1 Planned Assessments4.1.2 Assessment Findings and Corrective

Action Responses

- Assessments and ResponseActions

- Planned ProjectAssessments Table

- Audit Checklists- Assessment Findings andCorrective

Action Responses Table

4.2 QA Management Reports - QA Management ReportsTable

4.3 Final Project Report


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QAPP Worksheet #2


(continued)

Title:

Revision Number:

Revision Date:

Page ___ of ___




Data Review

5.1

Overview

5.2 Data Review Steps 5.2.1 Step I: Verification 5.2.2 Step II: Validation 5.2.2.1 Step IIa Validation Activities 5.2.2.2 Step IIb Validation Activities 5.2.3 Step III: Usability Assessment 5.2.3.1 Data Limitations and Actions from

Usability Assessment5.2.3.2 Activities

- Verification (Step I)Process Table

- Validation (Steps IIa andIIb) Process Table

- Validation (Steps IIa andIIb) Summary Table

- Usability Assessment

5.3 Streamlining Data Review 5.3.1 Data Review Steps To Be Streamlined 5.3.2 Criteria for Streamlining Data Review 5.3.3 Amounts and Types of Data Appropriate

for Streamlining


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7

QAPP Worksheet #3

(UFP-QAPP Manual Section 2.3.1)

List those entities to whom copies of the approvedQAPP, subsequent QAPP revisions, addenda, and amendments.

Title:

Revision Number:

Revision Date:Page___ of___

Distribution List

Document Control

QAPP Recipients Title Organization Telephone Number Fax Number E-mail Address Number


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8

QAPP Worksheet #4


Have copies of this form signed by key project personnel from each organizationto indicate that they have read the applicable sections of the QAPP and will

perform the tasks as described. Ask each organization to forward signed sheets to

the central project file.

Project Personnel Sign-Off Sheet

Organization:_________________________

Title:

Revision Number:

Revision Date:Page ___ of ___

Project Personnel Title Telephone Number Signature Date QAPP Read


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9

QAPP Worksheet #5


Identify reporting relationships between all organizations

involved in the project, including the lead organization and all contractor and subcontractororganizations. Identify the organizations providing field sampling, on-site and off-site analysis,

and data review services, including the names and telephone numbers of all project managers,

project team members, and/or project contacts for each organization.

Project Organizational Chart

Title:

Revision Number:

Revision Date:

Page ___ of ___


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10

QAPP Worksheet #6


Describe the communication pathways and modes of communication that will

be used during the project, after the QAPP has been approved. Describe the procedures

for soliciting and/or obtainingapproval between project personnel, between different

contractors, and between samplers and laboratory staff. Describe the procedure that

will be followed when any project activity originally documented in an approved QAPP

requires real-time modification to achieve project goals or a QAPP amendment is required.

Describe the procedures for stopping work and identify who is responsible.

Communication Pathways

Title:

Revision Number:

Revision Date:

Page ___ of ___

Communication Drivers Responsible Entity Name Phone Number Procedure (Timing, Pathways, etc.)


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11

QAPP Worksheet #7


Identify project personnel associated with each organization, contractor,

and subcontractor participating in responsible roles. Includedata users,

decision-makers, project managers, QA officers, project contacts for

organizations involved in the project, project health and safety officers,

geotechnical engineers and hydrogeologists, field operation personnel,

analytical services, and data reviewers. Identify project team members

with an asterisk (*). Attach resumes to this worksheet or note the location

of the resumes.

Personnel Responsibilities and Qualifications Table

Title:

Revision Number:

Revision Date:

Page ___ of ___

Education and Experience

Name Title Organizational Affiliation Responsibilities Qualifications


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12

QAPP Worksheet #8


Provide the following information for those projects requiring personnel

with specialized training. Attach training records and/or certificates to

the QAPP or note their location.

Special Personnel Training Requirements Table

Title:

Revision Number:

Revision Date:

Page ___ of ___

Personnel

Specialized Training Personnel/Groups Titles/

Project Title or Description of Training Training Receiving Organizational Location of Training

Function Course Provider Date Training Affiliation Records/Certificates1

1If training records and/or certificates are on file elsewhere, document their location in this column. If training records and/or certificates do

not exist or are not available, then this should be noted.


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QAPP Worksheet #9


Complete this worksheet for each project scoping session held.Identify project team members who are responsible for planning

the project.

Project Scoping Session Participants Sheet

Title:

Revision Number:

Revision Date:Page ___ of ___

Project Name___________________ Site Name___________________________________________

Projected Date(s) of Sampling________________________ Site Location________________________________________

Project Manager___________________________________

Date of Session:

Scoping Session Purpose:

Name Title Affiliation Phone # E-mail Address Project Role

Comments/Decisions:________________________________________________________________________________


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QAPP Worksheet #10


Clearly define the problem and the environmental questions that should

be answered for the current investigation and develop the project

decision If..., then... statements in the QAPP, linking data results with

possible actions. The prompts below are meant to help the project team

define the problem. They are not comprehensive.

Problem Definition

The problem to be addressed by the project:

The environmental questions being asked:

Observations from any site reconnaissance reports:

A synopsis of secondary data or information from site reports:

The possible classes of contaminants and the affected matrices:

The rationale for inclusion of chemical and nonchemical analyses:

Information concerning various environmental indicators:

Project decision conditions (If..., then... statements):

Title:

Revision Number:

Revision Date:

Page ___ of ___

14


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15

QAPP Worksheet #11


Use this worksheet to develop project quality objectives (PQOs) in terms of type, quantity, and

quality of data determined using a systematic planning process. Provide a detailed discussion

of PQOs in the QAPP. List the PQOs in the form of qualitative and quantitative statements.

These statements should answer questions such as those listed below. These questions are

examples only, however; they are neither inclusive nor appropriate for all projects.

Project Quality Objectives/Systematic Planning Process Statements

Title:

Revision Number:

Revision Date:

Page ___ of ___

Who will use the data?

What will the data be used for?

What type of data are needed? (target analytes, analytical groups, field screening, on-site analytical or off-site laboratory techniques,

sampling techniques)

How good do the data need to be in order to support the environmental decision?

How much data are needed? (number of samples for each analytical group, matrix, and concentration)

Where, when, and how should the data be collected/generated?

Who will collect and generate the data?

How will the data be reported?

How will the data be archived?


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16

QAPP Worksheet #12


Complete this worksheet for each matrix, analytical group, and concentration level.

Identify the data quality indicators (DQIs), measurement performance criteria (MPC),

and QC sample and/or activity used to assess the measurement performance for both the

sampling and analytical measurement systems. Use additional worksheets

if necessary. If MPC for a specific DQI vary within an analytical parameter, i.e., MPC

are analyte-specific, then provide analyte-specific MPC on an additional worksheet.

Measurement Performance Criteria Table

Title:

Revision Number:

Revision Date:

Page ___ of ___

Matrix

Analytical Group1

Concentration Level

Sampling Procedure2Analytical

Method/SOP3 Data Quality Indicators (DQIs) Measurement Performance Criteria

QC Sample and/or Activity Used to

Assess Measurement Performance

QC Sample Assesses Error

for Sampling (S),

Analytical (A) or both

(S&A)

1If information varies within an analytical group, separate by individual analyte.

2Reference number from QAPP Worksheet #21 (see Section 3.1.2).3Reference number from QAPP Worksheet #23 (see Section 3.2).


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17

QAPP Worksheet #13

(UFP-QAPP Manual Section 2.7)

Identify all secondary data and information that will be used for

the project and their originating sources. Specify how the secondary data

will be used and the limitations on their use.

Secondary Data Criteria and Limitations Table

Title:

Revision Number:

Revision Date:

Page ___ of ___

Secondary Data

Data Source

(Originating Organization,Report Title, and Date)

Data Generator(s)

(Originating Org., Data

Types, DataGeneration/Collection Dates) How Data Will Be Used Limitations on Data Use


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18

QAPP Worksheet #14


Provide a brief overview of the listed project activities.

Summary of Project Tasks

Sampling Tasks:

Analysis Tasks:

Quality Control Tasks:

Secondary Data:

Data Management Tasks:.

Documentation and Records:

Assessment/Audit Tasks:

Data Review Tasks:

Title:

Revision Number:

Revision Date:

Page ___ of ___


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19

QAPP Worksheet #15


Complete this worksheet for each matrix, analytical group, and concentration

level. Identify the target analytes/contaminants of concern and project-requiredaction limits. Next, determine the quantitation limits (QLs) that must be met to

achieve the project quality objectives. Finally, list the published and achievable

detection and quantitation limits for each analyte.

Reference Limits and Evaluation Table

Matrix:Analytical Group:

Concentration Level:

Title:

Revision Number:

Revision Date:

Page ___ of ___

Project Action Project Analytical Method1 Achievable Laboratory Limits2

Limit Quantitation Limit

Analyte CAS Number (applicable units) (applicable units) MDLs Method QLs MDLs QLs

1Analytical MDLs and QLs are those documented in validated methods.2Achievable MDLs and QLs are limits that an individual laboratory can achieve when performing a specific analytical method.


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QAPP Worksheet #16


List all project activities as well as the QA assessments that will be

performed during the course of the project. Include the anticipated start and

completion dates.

Project Schedule/Timeline Table

Title:

Revision Number:

Revision Date:

Page ___ of ___

20

Dates (MM/DD/YY)

Anticipated Date(s) Anticipated Date of

Activities Organization of Initiation Completion Deliverable Deliverable Due Date


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21

QAPP Worksheet #17


Describe the project sampling approach. Provide the rationale

for selecting sample locations and matrices for each

analytical group and concentration level.

Sampling Design and Rationale

Title:

Revision Number:

Revision Date:

Page ___ of ___

Describe and provide a rationale for choosing the sampling approach (e.g., grid system, biased statistical approach):

Describe the sampling design and rationale in terms of what matrices will be sampled, what analytical groups will be analyzed and at

what concentration levels, the sampling locations (including QC, critical, and background samples), the number of samples to be taken,

and the sampling frequency (including seasonal considerations) [May refer to map or Worksheet #18 for details]:


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QAPP Worksheet #18


List all site locations that will be sampled and include sample/ ID number,

if available. (Provide a range of sampling locations of ID numbers if a site

has a large number.) Specify matrix and, if applicable, depth at which samples

will be taken. Only a short reference for the sampling location

rationale is necessary for the table. The text of the QAPP should clearly

identify the detailed rationale associated with each reference. Complete all

required information, using additional worksheets if necessary.

Sampling Locations and Methods/SOP Requirements Table

Title:

Revision Number:

Revision Date:

Page ___ of ___

22

Sampling Number of Rationale for

Location/ID Depth Concentration Samples (identify Sampling SOP Sampling

Number Matrix (units) Analytical Group Level field duplicates) Reference1 Location

1Specify the appropriate letter or number from the Project Sampling SOP References table (Worksheet #21).


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23

QAPP Worksheet #19


For each matrix, analytical group, and concentration level, list the analytical

and preparation method/SOP and associated sample volume, container

specifications, preservation requirements, and maximum holding time.

Analytical SOP Requirements Table

Title:

Revision Number:

Revision Date:

Page ___ of ___

Matrix Analytical GroupConcentration

Level

Analytical and

Preparation

Method/SOPReference1 Sample Volume

Containers

(number, size,and type)

Preservation

Requirements

(chemical,

temperature,light protected)

Maximum

Holding Time

(preparation/analysis)

1Specify the appropriate reference letter or number from the Analytical SOP References table (Worksheet #23).


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24

QAPP Worksheet #20


Summarize by matrix, analytical group, and concentration level

the number of field QC samples that will be collected and sent to

the laboratory.

Field Quality Control Sample Summary Table

Title:

Revision Number:

Revision Date:

Page ___ of ___

Matrix

Analytical

Group

Concentration

Level

Analytical

and

Preparation

SOP

Reference1

No. of

Sampling

Locations2

No. of Field

Duplicate

Pairs

Inorganic

No. of Field

Blanks

No. of

Equip.

Blanks

No. of PT

Samples

Total No. of

Samples to

LabNo. of MS

1Specify the appropriate reference letter or number from the Analytical SOP References table (Worksheet #23).2If samples will be collected at different depths at the same location, count each discrete sampling depth as a separate sampling location or station.


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QAPP Worksheet #21


List all SOPs associated with project sampling including, but not limited to,

sample collection, sample preservation, equipment cleaning and decontamination,

equipment testing, inspection and maintenance, supply inspection and acceptance, andsample handling and custody. Include copies of the SOPs as attachments or reference all

in the QAPP. Sequentially number sampling SOP references in the Reference Number column.

The reference number can be used throughout the QAPP to refer to a specific SOP.

Project Sampling SOP References Table

Title:

Revision Number:

Revision Date:

Page ___ of ___

25

Modified for

Reference Project Work?Number Title, Revision Date and/or Number Originating Organization Equipment Type (Y/N) Comments


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QAPP Worksheet #22

(UFP-QAPP Manual Section 3.1.2.4)

Identify all field equipment and instruments (other than analytical instrumentation)

that require calibration, maintenance, testing, or inspection and provide the SOP

reference number for each type of equipment. In addition, document the frequencyof activity, acceptance criteria, and corrective action requirements on the worksheet.

Title:

Revision Number:

Revision Date:

Page ___ of ___

26

Field Equipment Calibration, Maintenance, Testing, and Inspection Table

Field

Equipment

Calibration

Activity

Maintenance

Activity

Testing

Activity

Inspection

ActivityFrequency

Acceptance

Criteria

Corrective

Action

Responsible

Person

SOP

Reference1

1Specify the appropriate reference letter or number from the Project Sampling SOP References table (Worksheet #21).


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QAPP Worksheet #23


List all SOPs that will be used to perform on-site or off-site analysis. Indicate

whether the procedure produces screening or definitive data. Sequentially number

analytical SOP references in the Reference Number column. Include copies of theSOPs as attachments or reference in the QAPP. The reference number can be used

throughout the QAPP to refer to a specific SOP.

Analytical SOP References Table

Title:

Revision Number:

Revision Date:

Page ___ of ___

27

Title, Revision Organization Modified for

Reference Date, and/or Definitive or Performing Project Work?Number Number Screening Data Analytical Group Instrument Analysis (Y/N)


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QAPP Worksheet #24


Identify all analytical instrumentation that requires calibration and provide

the SOP reference number for each. In addition, document the frequency,

acceptance criteria, and corrective action requirements on the worksheet.

Analytical Instrument Calibration Table

Title:

Revision Number:

Revision Date:

Page ___ of ___

28

Person

Instrument

Calibration

Procedure

Frequency of

Calibration

Acceptance

Criteria

Corrective Action

(CA)

Responsible for

CA SOP Reference1



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QAPP Worksheet #25


Identify all analytical instrumentation that requires maintenance, testing, or inspection

and provide the SOP reference number for each. In addition, document the

frequency, acceptance criteria, and corrective action requirements on the worksheet.

Title:

Revision Number:

Revision Date:

Page ___ of ___

29

Analytical Instrument and Equipment Maintenance, Testing, and Inspection Table

Instrument/ Maintenance Testing Inspection Acceptance Corrective Responsible SOP

Equipment Activity Activity Activity Frequency Criteria Action Person Reference1



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30

QAPP Worksheet #26

(UFP-QAPP Manual Appendix A)

Use this worksheet to identify components of the project-specific sample handling system.

Record personnel, and their organizational affiliations, who are primarily responsible for

ensuring proper handling, custody, and storage of field samples from the time of collection,to laboratory delivery, to final sample disposal. Indicate the number of days field samples

and their extracts/digestates will be archived prior to disposal.

Sample Handling System

Title:

Revision Number:

Revision Date:

Page ___ of ___

SAMPLE COLLECTION, PACKAGING, AND SHIPMENT

Sample Collection (Personnel/Organization):

Sample Packaging (Personnel/Organization):

Coordination of Shipment (Personnel/Organization):

Type of Shipment/Carrier:

SAMPLE RECEIPT AND ANALYSIS

Sample Receipt (Personnel/Organization):

Sample Custody and Storage (Personnel/Organization):

Sample Preparation (Personnel/Organization):

Sample Determinative Analysis (Personnel/Organization):

SAMPLE ARCHIVING

Field Sample Storage (No. of days from sample collection):

Sample Extract/Digestate Storage (No. of days from extraction/digestion):

Biological Sample Storage (No. of days from sample collection):SAMPLE DISPOSAL

Personnel/Organization:

Number of Days from Analysis


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31

QAPP Worksheet #27


Describe the procedures that will be used to maintain sample custody and

integrity. Include examples of chain-of-custody forms, traffic reports, sample

identification, custody seals, laboratory sample receipt forms, and laboratorysample transfer forms. Attach or reference applicable SOPs.

Sample Custody Requirements

Title:

Revision Number:

Revision Date:

Page ___ of ___

Field Sample Custody Procedures (sample collection, packaging, shipment, and delivery to laboratory):

Laboratory Sample Custody Procedures (receipt of samples, archiving, disposal):

Sample Identification Procedures:

Chain-of-custody Procedures:


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32

QAPP Worksheet #28

(UFP-QAPP Manual Section 3.4)

Complete a separate worksheet for each sampling technique, analytical method/SOP,

matrix, analytical group, and concentration level. If method/SOP QC acceptance

limits exceed the measurement performance criteria, the data obtained may beunusable for making project decisions.

QC Samples Table

Title:

Revision Number:

Revision Date:

Page ___ of ___

Matrix

Analytical Group

Concentration LevelSampling SOP

Analytical Method/

SOP Reference

Samplers Name

Field Sampling

Organization

Analytical

Organization

No. of Sample

Locations

Person(s)

Method/SOP QC Responsible for Data Quality Measurement Performance

QC Sample: Frequency/Number Acceptance Limits Corrective Action Corrective Action Indicator (DQI) Criteria


37/45

QAPP Worksheet #29


Identify the documents and records that will be generated for all aspects of the

project including, but not limited to, sample collection and field measurement,

on-site and off-site analysis, and data assessment.

Project Documents and Records Table

Title:

Revision Number:

Revision Date:

Page ___ of ___

33

Sample Collection

Documents and Records

On-site Analysis


Off-site Analysis


Data Assessment

Documents and RecordsOther


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34

QAPP Worksheet #30

(UFP-QAPP Manual Section 3.5.2.3)

Identify all laboratories or organizations that will provide analytical services

for the project, including on-site screening, on-site definitive, and off-site

laboratory analytical work. Group by matrix, analytical group, concentration,and sample location or ID number. If applicable, identify the subcontractor

laboratories and backup laboratory or organization that will be used if the

primary laboratory or organization cannot be used.

Analytical Services Table

Title:

Revision Number:

Revision Date:

Page ___ of ___

Matrix

Analytical

Group

Concentration

Level

Sample

Locations/ID

Numbers Analytical SOP

Data Package

Turnaround

Time

Laboratory/Organization

(Name and Address,

Contact Person and

Telephone Number)

BackupLaboratory/Organization

(Name and Address,

Contact Person and

Telephone Number)


39/45

Title:

Revision Number:

Revision Date:

Page ___ of ___

QAPP Worksheet #31


Identify the type, frequency, and responsible parties of

planned assessment activities that will be performed for the project.

Planned Project Assessments Table

35

AssessmentType Frequency

Internal orExternal

Organization

PerformingAssessment

Person(s) Responsible

for

Performing Assessment

(Title and OrganizationalAffiliation)


for Responding to

Assessment Findings



for Identifying

and Implementing

Corrective Actions (CA)


Person(s)

Responsible for

Monitoring

Effectiveness of

CA (Title and

OrganizationalAffiliation)

QAPP W k h t #32 Titl


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36

QAPP Worksheet #32


For each type of assessment describe procedures for handling

QAPP and project deviations encountered during the planned

project assessments.

Assessment Findings and Corrective Action Responses

Title:

Revision Number:

Revision Date:

Page ___ of ___

Individual(s) Nature of Individual(s)

Nature of Notified of Findings Corrective Action Receiving Corrective

Assessment Deficiencies (Name, Title, Timeframe of Response Action Response Timeframe for

Type Documentation Organization) Notification Documentation (Name, Title, Org.) Response

QAPP Worksheet #33 Title:


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37

QAPP Worksheet #33

(UFP QAPP Manual Section 4.2)

Identify the frequency and type of planned QA Management

Reports, the project delivery dates, the personnel responsible

for report preparation, and the report recipients.

QA Management Reports Table

Title:

Revision Number:

Revision Date:

Page ___ of ___

Type of Report

Frequency (daily, weekly

monthly, quarterly,

annually, etc.) Projected Delivery Date(s)

Person(s) Responsible for

Report Preparation (Title

and Organizational

Affiliation)

Report Recipient(s) (Title

and Organizational

Affiliation)



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38

QAPP Worksheet #34


Describe the processes that will be followed to verify project data.

Manual (Section 5.1). Describe how each item will be verified, when

the activity will occur, and what documentation is necessary, and identifythe person responsible. Internalor externalis in relation to the data generator.

Verification (Step I) Process Table

Title:

Revision Number:

Revision Date:

Page ___ of ___

Internal/ Responsible for Verification

Verification Input Description External (Name, Organization)



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39

QAPP Worksheet #35


Describe the processes that will be followed to validate project data.

Validation inputs include items such as those listed in Table 9

of the UFP-QAPP Manual (Section 5.1). Describe how each item will bevalidated, when the activity will occur, and what documentation is necessary and

identify the person responsible. Differentiate between steps IIa and IIb of validation.

Validation (Steps IIa and IIb) Process Table

Title:

Revision Number:

Revision Date:

Page ___ of ___

Responsible for Validation

Step IIa/IIb Validation Input Description (Name, Organization)



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40

QAPP Worksheet #36


Identify the matrices, analytical groups, and concentration levels that each

entity performing validation will be responsible for, as well as criteria

that will be used to validate those data.

Validation (Steps IIa and IIb) Summary Table

Title:

Revision Number:

Revision Date:

Page ___ of ___

Data Validator (title

Concentration and organizational

Step IIa/IIb Matrix Analytical Group Level Validation Criteria affiliation)



45/45

41

Q


Describe the procedures/methods/activities that will be used to

determine whether data are of the right type, quality, and quantity

to support environmental decision-making for the project. Describehow data quality issues will be addressed and how limitations on the

use of the data will be handled.

Usability Assessment

Revision Number:

Revision Date:

Page ___ of ___

Summarize the usability assessment process and all procedures, including interim steps and any statistics, equations, and computer

algorithms that will be used:

Describe the evaluative procedures used to assess overall measurement error associated with the project:

Identify the personnel responsible for performing the usability assessment:

Describe the documentation that will be generated during usability assessment and how usability assessment results will be presented

so that they identify trends, relationships (correlations), and anomalies:

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